Summary of the invention
Instruction herein comprises a kind of device intraocular lens (IOL) be injected in the phacocyst of eyes.This device by modularity to allow to clear up internal part after the procedure, such as infusion appliance bar.
According to exemplary embodiment, IOL injection device comprises tube-like envelope, and it comprises the first module and the second module.First module installation is at case nose, and the second module installation is in the first module rear, such as, is positioned at outer casing back.These modules collectively define passage, and it extends through from the second module the front end that the first module arrives shell.Infusion appliance bar is longitudinally arranged in the channels and removable along this passage.
First module be also configured to the front end place of shell or near accommodation crystalline lens cylinder.Crystalline lens cylinder has been provided with IOL wherein and has alignd with the passage that the first and second modules limit.Moving along passage along with bar and enter crystalline lens cylinder module, the IOL alignd with passage can be shifted out outside crystalline lens cylinder module by infusion appliance bar.
More particularly, infusion appliance bar moves in working range between the retracted and extended positions along passage.At retracted position place, the forward part of infusion appliance bar keeps substantially by the first module enclose.But along with infusion appliance bar moves to extended position from retracted position, this forward part of bar moves into a module and from wherein shifting out IOL.
When in like fashion IOL being injected eyes, the material (such as visco-elastic material) used at intra-operative is gathered on the internal part of IOL injection device, the especially forward part of infusion appliance bar.In order to allow these internal parts clean, the first module is configured to depart from the second module, exposes the forward part of infusion appliance bar so that clean thus at retracted position.Once the forward part of clean infusion appliance bar, the first and second modules can be configured to connect for use of performing the operation subsequently again.
Under the certain situation of the surgical application of device, the internal part of device can clean the material gathered as described above fully.But in other cases, material also may accumulate in and depart from the first and second modules as described above and in those parts of unexposed internal part.Therefore, in other embodiments of the invention, when the second module is formed at and is not connected with the first module, cleaning module (such as, being filled with the infusion appliance of balanced salt solution and the pipe for injecting this solution) is removably connected to.Cleaning module is configured to be injected at by cleaning fluid on each internal part of device, such as infusion appliance bar, is included in those parts unexposed when infusion appliance bar is in retracted position.
Certainly, those skilled in the art will recognize that the present invention is not limited to above-mentioned feature, advantage, interior perhaps example, and reading following detailed description book and further feature and advantage will be recognized after checking accompanying drawing.
Detailed description of the invention
Figure 1A-1C shows the device 10 for intraocular lens (IOL) being injected capsule before eyes.IOL injection device 10 comprises tube-like envelope 12, and it comprises the first module 14 and the second module 16.First module 14 is arranged on front end 18 place of shell 12, and the second module 16 is arranged on the rear portion of the first module 14, such as, is positioned at the rearward end 20 of shell 12.
Module 14,16 is configured to each internal part holding IOL injection device 10 wherein.Such as, module 14,16 holds infusion appliance bar 22.More particularly, module 14,16 collectively defines passage 24, and it extends through from the second module 16 front end 18 that first module 14 arrives shell 12.It is interior and removable along it that infusion appliance bar 22 is longitudinally arranged on this passage 24.
First module 14 be also configured to front end 18 place of shell 12 or near accommodation crystalline lens cylinder module 26.Such as, in certain embodiments, the first module 14 comprises crystalline lens cylinder module base 28, and it is press-fitted into the front end 18 of shell 12.Crystalline lens cylinder module 26 is removably mounted on the front end 18 of shell 12 by this crystalline lens cylinder module base 28, such as, via the unique otch being configured to fixing crystalline lens cylinder module 26.
Crystalline lens cylinder module 26 has been provided with intraocular lens (IOL) wherein, and the passage 24 limited with module 14,16 aligns.Along with bar 22 moves and enters crystalline lens cylinder module 26, the IOL alignd with passage 24 can be shifted out from crystalline lens cylinder module 26 by infusion appliance bar 22 along passage 24.
Especially, as seen in figs. 2a-2b, infusion appliance bar 22 moves between retracted position (Fig. 2 A) and extended position (Fig. 2 B) along passage 24 in working range.In certain embodiments, to be held by the second module 30 and the power drive system 30 of being powered by cable assembly 32 makes infusion appliance bar 22 to move in like fashion.Such as, power drive system 30 can comprise motor, and is constructed such that infusion appliance bar 22 in working range along passage 24 longitudinal translation between the retracted and extended positions.Can by one or more mechanical stops 34, by electric control signal or both some combination and by the mobile restriction working range in retracted position and extended position between of infusion appliance bar 22 along passage 24.
Do not consider the means of carriage release lever 22, at retracted position place, the forward part 22a of bar 22 maintains and is substantially surrounded by the first module 14.Along with infusion appliance bar 22 moves to extended position from retracted position, this forward part 22a of bar 22 moves into a module 26 and moves into ophthalmic from wherein shifting out IOL.
When in like fashion IOL being injected eyes, the forward part 22a of the internal part of IOL injection device 10, especially infusion appliance bar 22, can gather the material (such as visco-elastic material) of use thereon at intra-operative.If do not clear up infusion appliance bar 22 to remove the material gathered, so material may pollute and use same device 10 carry out the later stage patient of cataract operation and will introduce complication.
Therefore, device 10 modularity as shown in figs 3 a and 3b, to allow to clean the internal part as infusion appliance bar 22 after the procedure.As shown in the figure, the first module 14 is configured to depart from the second module 16, to expose the forward part 22a of infusion appliance bar 22 thus at retracted position for clean.The clean material that can need simply to wipe on the forward part 22a accumulating in infusion appliance bar 22, or the forward part 22a needing flushing, immersion and infusion appliance bar 22 of sterilizing ultrasonically more up hill and dale.Once the forward part 22a of clean infusion appliance bar 22, the first module 14 and the second module 16 can be configured to be connected for surgical application subsequently again.
Such as, in certain embodiments, the first module 14 comprises the first connection features, and the second module 16 comprises the second connection features.These connection features are configured to be connected to each other for surgical application, and depart from each other so that clean.In one embodiment, the first and second connection features are the various piece of fastener fixing mechanism respectively, and the first module 14 is buckled in the second module 16 by its permission, and similarly unclamps buckle from the second module 16.In another embodiment, the first connection features comprises the mechanical whorl on the inner surface being arranged on the first module 14, and the second connection features comprises the mechanical whorl on the outer surface being arranged on the second module 16.These mechanical whorls are configured to be engaged with each other, to allow to connect and depart from the first and second modules 14,16.But another embodiment comprises some combinations of these fastener fixing mechanisms and mechanical whorl.
Such as, with reference to the embodiment shown in figure 4A-4B.In Fig. 4 A-4B, the second module 16 comprises concentric infusion appliance rod sleeve 36.Infusion appliance rod sleeve 36 is given prominence to towards the front end 18 of shell 12 from the second module 16 in cantilever fashion, and around the bar 22 be longitudinally arranged on wherein at least partially.Infusion appliance rod sleeve 36 comprises setting mechanical whorl 38 on its outer surface.These mechanical whorls 38 are configured to engage the mechanical whorl 40 on the inner surface being arranged on the first module 14.In addition, the first and second modules 14,16 comprise the various piece of one or more fastener fixing mechanism 42, and it is when engaged by module 14,16 hasp or be fixed together.Therefore, module 14,16 is configured to link together in these embodiments, this be by via mechanical whorl 38,40 by overlapping for the first module 14 and be threaded on infusion appliance bar 36, until fastener fixing mechanism 42 engages.When module 14,16 connects in like fashion, the first module 14 surrounds the forward part 22a of infusion appliance rod sleeve 36 and infusion appliance bar 22.Module 14,16 is configured to depart from each other in the opposite manner, again to expose the forward part 22a of infusion appliance rod sleeve 36 and infusion appliance bar 22, so that clean.
Device surgical application in most cases, the internal part of device 10 such as infusion appliance bar 22 can the clean material gathered fully as described above.In fact, in most cases, material only accumulates in the whose forwardmost end portions of internal part, on the forward part 22a of such as infusion appliance bar 22, and thus only exposes these parts for clean normally enough.
But in other cases, material can also accumulate in those parts of the unexposed internal part of above-described embodiment.Such as, in the embodiment shown in Fig. 4 A-4B, material can accumulate in those parts of the infusion appliance bar 22 that infusion appliance rod sleeve 36 surrounds.Thus, when infusion appliance bar 22 is in retracted position so that when cleaning, only depart from the first module 14 from the second module 16 as described above and do not expose these parts fully.
Therefore, the embodiment shown in Fig. 5 A-5E relates to the internal part of the clean device 10 fully do not exposed by departing from the first module 14 from the second module 16.In these embodiments, the second module 16 is configured to removably be connected to cleaning module 44 when departing from the first module 14.Cleaning module 44 is configured to be injected at by cleaning fluid on each internal part of device 10, and such as infusion appliance bar 22 comprises those parts unexposed when infusion appliance bar 22 is in retracted position and when the second module 16 and the first module 14 depart from.
More particularly, the first and second modules 14,16 in these embodiments can be configured to same way as above substantially and connect and depart from; That is, via the mechanical whorl 38 be arranged on the outer surface of infusion appliance rod sleeve 36, it engages with the mechanical whorl 40 on the inner surface being arranged on the first module 14, and/or via the various piece of one or more fastener fixing mechanism 42.But additionally, infusion appliance rod sleeve 36 can be configured to removably be connected to cleaning module 44 when not being connected to the first module 14.Such as, infusion appliance rod sleeve 36 can also comprise cleaning module adapter 36a, and its front end in cantilever fashion from the second module 16 towards shell 12 18 is given prominence to.The size of this cleaning module adapter 36a is formed and is configured to removably be connected to cleaning module 44.
As shown in the figure, cleaning module 44 comprises pipe 48 and is filled with the infusion appliance 46 of cleaning fluid (such as aseptic balanced salt solution).One end 48a of pipe 48 is configured to be connected to infusion appliance 46.The other end 48b of pipe 48 is formed at the forward part 22a that retracted position crosses infusion appliance bar 22, and such as arranges and be configured for the cleaning module adapter 36a of the infusion appliance rod sleeve 36 of this connection via size and be connected to the second module 16.Along with infusion appliance 46 is connected to the second module 16 in like fashion, cleaning fluid can be injected in infusion appliance rod sleeve 36 by infusion appliance and depart from the first module 14 and on those internal parts of unexposed device 10.
In certain embodiments, infusion appliance rod sleeve 36 has at least one fluid issuing 36b in its sidewall.Fluid issuing 36b is configured to disperse and is injected at cleaning fluid in infusion appliance rod sleeve 36 and on infusion appliance bar 22 by cleaning module 44.Such as, as shown in the figure, cleaning fluid flows through pipe 48 from infusion appliance 46 and enters infusion appliance rod sleeve 36, arrives on the unexposed portion of infusion appliance bar 22 and other non-exposed inner parts of device 10, and leaves fluid issuing 36b.
In the non-required part of the cleaning fluid inflow device 10 injected to prevent cleaning module 44, such as, near the power drive system 30 at rear end 20 place of shell 12, all each embodiments as shown in fig. 5e comprise seal member 50.Seal member 50 such as can comprise compressive sealed that is made up of elastic body jacket and metal passage ring.In the embodiment of Fig. 5 E, seal member 50 be arranged in passage 24 be positioned at the second module 16 front end 16a near.Setting like this, is formed at seal member 50 and infusion appliance bar 22 when bar 22 is in retracted position and is engaged with each other.Engage in like fashion, seal member 50 prevent from being injected at the cleaning fluid on bar 22 more than the front end 16a of the second module 16 rear end 20 towards shell 12.Thus in certain embodiments, seal member 50 also contributes to dispersing cleaning fluid and leaves fluid issuing 36b.
Although one of skill in the art will appreciate that as above describing infusion appliance bar 22 for illustration purposes comprises single unitary members, infusion appliance bar 22 can comprise two or more parts as shown in Figure 6.As shown in Figure 6, the forward part 22a of infusion appliance bar 22 comprises stopper head, and it is configured to the remainder 22b being removably connected to infusion appliance bar 22.In certain embodiments, stopper head can comprise dismountable plastic sleeve, and its buckle is fixed on the remainder 22b of bar 22, and can abandon after a procedure.And the end of plastic sleeve engaging IOL has compliance than smooth metal plunger first watch, and has smooth surface finish, thus avoid owing to promoting IOL by crystalline lens cylinder module 26 with enter eyes and cause damage to IOL.Use disposable plastic sleeve can also make to clean IOL injection device 10 between use easier, because need the part of the infusion appliance bar 22 of cleaning less as mentioned above.
Thus, for object that is illustrative and citing, the aforementioned description of each embodiment of intraocular lens's injection device is given.One of skill in the art will appreciate that and to implement the present invention with the specific described different modes of this paper, and can not depart from basic feature of the present invention.Thus, will think that the present embodiment is schematic in all respects, and nonrestrictive, and be intended to comprise fall into claim of enclosing meaning and equivalent scope in changed.